DERMATOLOGY - HMFP AT BIDMC
NPI 1043250616
Dermatology in Boston, MA

Active since June 08, 2006
330 BROOKLINE AVE, MASCO 3, BOSTON, MA 02215(617) 754-0355(617) 754-0375 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 20, 2024, Jun 15, 2018, Sep 21, 2016 (3 updates tracked since 2016).

About Dermatology - Hmfp At Bidmc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY - HMFP AT BIDMC (NPI 1043250616) is a healthcare organization registered as a dermatology in Boston, Massachusetts and active in the NPI registry since June 2006. The organization lists Alexandra Boer Kimball, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1043250616
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameHARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC
Location Address330 BROOKLINE AVE, MASCO 3Boston, MA 02215
Mailing Address375 Longwood Ave Ste 3Boston, MA 02215-5395 · (617) 632-7441 · Fax (617) 632-7570
Fax(617) 754-0375
Organization SubpartNo
Authorized OfficialAlexandra Boer KimballChief Executive Officer · (617) 632-7441
Enumeration DateJune 8, 2006
Last NPPES UpdateNovember 20, 20243 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1043250616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
330 BROOKLINE AVE, Boston, MA 02215

Other Names 1

Doing Business AsDermatology - Hmfp At Bidmc

Other Identifiers 1

Medicaid9782907MA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology - Hmfp At Bidmc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Dermatology - Hmfp At Bidmc, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Dermatology33
Nurse Practitioner2
Plastic and Reconstructive Surgery1

Nearest to this location (20)

See all 36
Dermatology
NPI 1205413598
330 BROOKLINE AVE
Boston, MA 02215
(617) 667-3753
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1609089077
330 BROOKLINE AVE BETH ISRAEL DEACONESS MEDICAL CENTER
Boston, MA 02215
(617) 667-3753
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1770073751
330 BROOKLINE AVE # 522
Boston, MA 02215
(617) 667-4995
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1770015349
330 BROOKLINE AVE # 522
Boston, MA 02215
(617) 667-4995
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1871931618
330 BROOKLINE AVE
Boston, MA 02215
(617) 667-4995
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1942887591
330 BROOKLINE AVE
Boston, MA 02215
(617) 667-3753
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1679867766
330 BROOKLINE AVE
Boston, MA 02215
(617) 667-7000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1780732453
330 BROOKLINE AVENUE CCE 200
Boston, MA 02215
(617) 667-0245
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1154465540
330 BROOKLINE AVE SHAPIRO 2
Boston, MA 02215
(617) 667-3753
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1003136771
330 BROOKLINE AVE SHAPIRO 2
Boston, MA 02215
(617) 667-3753
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1558422584
330 BROOKLINE AVE
Boston, MA 02215
(617) 667-3753
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1386602753
330 BROOKLINE AVENUE, SHAPIRO 2 BIDMC/DERMATOLOGY
Boston, MA 02115
(617) 667-3753
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1073503603
330 BROOKLINE AVE
Boston, MA 02215
(617) 667-3753
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1790892099
330 BROOKLINE AVE SHAPIRO BLDG. 2ND FLOOR
Boston, MA 02215
(617) 667-3753
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1871080929
330 BROOKLINE AVE
Boston, MA 02215
(176) 673-7536
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1467462515
330 BROOKLINE AVENUE
Boston, MA 02215
(617) 667-4995
✔ PECOSSame address
Dermatology
NPI 1225327844
330 BROOKLINE AVENUE - SHAPIRO 2 BETH ISRAEL DEACONESS MEDICAL CENTER
Boston, MA 02215
(617) 667-4493
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1174580906
221 LONGWOOD AVE
Boston, MA 02115
(617) 732-4918
✔ PECOS✔ Accepts Medicare0.3 mi
Dermatology
NPI 1669718920
BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVENUE , SHAPIRO 2ND FL
Boston, MA 02115
(617) 667-3753
✔ PECOS✔ Accepts Medicare0.3 mi
Dermatology
NPI 1568857233
330 BROOLINE AVENUE GRYZMISH 522
Boston, MA 02215
(203) 216-3833
✔ PECOS✔ Accepts Medicare0.6 mi
See all 36 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc's NPI number?

The NPI number for Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc is 1043250616. It was assigned to this organization in the NPPES registry on June 8, 2006. The provider is doing business as Dermatology - Hmfp At Bidmc.

Where is Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc located?

Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc is located at 330 Brookline Ave Masco 3, Boston, MA 02215. The listed phone number is (617) 754-0355.

What is Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc enrolled in Medicare?

Yes. Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 3 Medicare specialties reassign their Medicare billing to Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (33), Nurse Practitioner (2) and Plastic and Reconstructive Surgery (1). Of these, 17 practice at this address and 28 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.